{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T23:17:40Z","timestamp":1789082260514,"version":"build-2803163510"},"reference-count":50,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:00:00Z","timestamp":1761782400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Transcatheter aortic valve replacement (TAVR) for aortic stenosis (AS) is increasingly performed in younger patients with long life expectancy. However, limited data exist on the durability of transcatheter heart valves (THVs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The aim of the present work is to compare the long\u2010term durability of balloon\u2010expandable (BEV) and self\u2010expanding (SEV) THVs after TAVR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Electronic databases were searched up to May 2025 for studies reporting on the long\u2010term durability of THVs in patients undergoing TAVR with a minimum follow\u2010up of 5 years. Pooled odds ratios (ORs) with 95% confidence interval (CI) were used as summary statistics and were calculated using a random\u2010effects model. Co\u2010primary endpoints were moderate and severe structural valve deterioration (SVD) and the occurrence of all\u2010cause bioprosthetic valve failure (BVF). All\u2010cause death was the secondary endpoint.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 22 studies and 12,131 patients undergoing TAVR were included: 52.5% of patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096362) received BEV, 47.5% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095769) SEV. An old\u2010generation THV was used in 84.5% of cases. At a median follow\u2010up of 7 (5\u22128.3) years, the overall pooled estimates of moderate\/severe SVD and BVF were 7% (5\u22129) and 4% (3\u22125), respectively. Patients treated with a BEV experienced a higher rate of SVD (OR: 2.09; 95% CI: 1.58\u22122.75;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and BVF (OR: 1.61; 95% CI: 1.10\u22122.36;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.014); no difference was observed in terms of all\u2010cause death.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>At long\u2010term follow\u2010up after TAVR, patients receiving a BEV experienced higher rates of moderate\/severe SVD and of BVF compared to those having a SEV. However, no significant differences between the two THV designs were observed on the clinical endpoint of all\u2010cause death.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70294","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:03:51Z","timestamp":1761894231000},"page":"48-60","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Long\u2010Term Durability of Balloon\u2010Expandable Versus Self\u2010Expanding Transcatheter Aortic Valves: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"107","author":[{"given":"Saverio","family":"Continisio","sequence":"first","affiliation":[{"name":"Division of Cardiology Clinica S. Rocco di Franciacorta Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5108-0579","authenticated-orcid":false,"given":"Andrea R.","family":"Munaf\u00f2","sequence":"additional","affiliation":[{"name":"De Gasperis Cardio Center Interventional Cardiology Unit, Niguarda Hospital Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Montonati","sequence":"additional","affiliation":[{"name":"Division of Cardiology IRCCS Hospital Galeazzi\u2010Sant'Ambrogio Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Terzi","sequence":"additional","affiliation":[{"name":"Department of Cardiology Monzino Cardiology Center Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emiliano","family":"Boldi","sequence":"additional","affiliation":[{"name":"Division of Cardiology Clinica S. Rocco di Franciacorta Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfonso","family":"Ielasi","sequence":"additional","affiliation":[{"name":"Division of Cardiology IRCCS Hospital Galeazzi\u2010Sant'Ambrogio Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8721-0515","authenticated-orcid":false,"given":"Claudio","family":"Montalto","sequence":"additional","affiliation":[{"name":"De Gasperis Cardio Center Interventional Cardiology Unit, Niguarda Hospital Milan Italy"},{"name":"School of Medicine and Surgery University of Milano\u2010Bicocca Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Soriano","sequence":"additional","affiliation":[{"name":"De Gasperis Cardio Center Interventional Cardiology Unit, Niguarda Hospital Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacopo A.","family":"Oreglia","sequence":"additional","affiliation":[{"name":"De Gasperis Cardio Center Interventional Cardiology Unit, Niguarda Hospital Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3554-6938","authenticated-orcid":false,"given":"Federico De","family":"Marco","sequence":"additional","affiliation":[{"name":"Department of Cardiology Monzino Cardiology Center Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Silvestro","sequence":"additional","affiliation":[{"name":"Division of Cardiology Clinica S. Rocco di Franciacorta Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tommaso","family":"Fabris","sequence":"additional","affiliation":[{"name":"Department of Cardiac, Thoracic and Vascular Sciences and Public Health University of Padova Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edwin","family":"Ho","sequence":"additional","affiliation":[{"name":"Montefiore\u2010Einstein Center for Heart and Vascular Care Montefiore Medical Center, Albert Einstein College of Medicine Bronx New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9969-2649","authenticated-orcid":false,"given":"Francesco","family":"Saia","sequence":"additional","affiliation":[{"name":"Cardiology Unit, Cardio\u2010Thoraco\u2010Vascular Department IRCCS University Hospital of Bologna, Policlinico S. Orsola Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Tarantini","sequence":"additional","affiliation":[{"name":"Department of Cardiac, Thoracic and Vascular Sciences and Public Health University of Padova Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cosmo","family":"Godino","sequence":"additional","affiliation":[{"name":"Heart Valve Center, Cardio\u2010Thoracic\u2010Vascular Department IRCCS San Raffaele Scientific Institute Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Maisano","sequence":"additional","affiliation":[{"name":"Heart Valve Center, Cardio\u2010Thoracic\u2010Vascular Department IRCCS San Raffaele Scientific Institute Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilbert H. 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